HomeMy WebLinkAboutAPPLICATION - 16-00699 - 635 Eaglewood Dr - SFRBuilding Safety Department 4aF,UR�d e l T Y o P
Oty of Rexburg ms =s
° REXBURG
35N ImE Phone. 208.372.2326 Amerjmi Fumfly Community
Rexburg, ID 83460 www,rexburg.org Fox: 208.359.3022
Office Hours: Monday -Friday 8:OOam-4:OOpm
Single Family Residential Pre -Construction Checklist
Seismic Design Category — D
Ground Snow — 50 lbs. pet sq. ft.
Frost Depth — 36"
Roof Snow Load — 35 lbs. per sq. ft.
Wind Load — 90 MPH
The following items should be completed itkee you rubmityoar building permit application.
Completion oi'a Bur7dmgPetmitApp&c2don: You may print this application from out website
www.raburn.orp or pick up a copy at the City Hall Annex Building (address above).
Fot Residential Permits. (the following is required to be submitted before the Application can be approved)
0 2 sets of site plans and 2 sets of building plans (must be drawn to scale)
-Plans must include foundation plan, floor joist layout, floor plan, roof layout, sectional views, front, back,
and side elevations, mechanical layout, stair details and any details required to illustrate special construction.
Energy Compliance Report: The State of Idaho has adopted the International Energy Conservation Code
(IECC). A Compliance Review must be completed and submitted (the rescheck software is available online
at www.muacodes.covl.
❑ Page 2 of the Application must include the Idaho Contractor's Registration N i .r or the exemption form
must be completed and signed, see Page 10.
b Page 5 of the Application must be completed and signed by your Plumber.
Ji Page 6 of the Application must be completed and dined by your MecbaaiW Contractor.
,t Page 8 of the Application must be completed and;jacd by your Electrician.
❑ Home owners: please complete page 6 of the application if you will be doing your own electrical work.
K Truss details including engineered floor joists are required.
id Property Line form needs to be signed by the builder or owner, see Page 4.
Subdivisions If you plan to build in a subdivision please check the Rexburg Development Code for any
requirements such as, property setbacks, architecture board approval, etc. This information is available from the
Planning & Zoning Department at the Annex Building located at 19 East Main.
NewResidendal Homes If your building permit is fox a new home, you will need the parcel number (a parcel
number is the county's property i4mifuation which recogm.Tes aplot of lane!) and a new physical address will be issued. If you
do not know the parcel number and cannot find a record of it, please bring the name of the subdivision, phase, and
the lot and block numbers. The correct location is vital to assure correct adThe correct location is vital to a addressing.
Remodels If you are considering a remodel, a LM of the bid or estimate for the remodel must be submitted with
the Permit Application.
• 2 sets of Plans are required (may need IECC Review).
• Additions are the same requirements as new construction.
CITY OF
REXBURG
CW
America's Family Community
Please Complete the Entire Application!
If the question does not apply fill in NA for non applicable
RESIDENTIAL BUILDING PERMIT APPLICATION
35 N 1`11, REXBURG, ID 83440
208-372-2326
PARCEL NUMBER: (We will provide this for you)
SUBDIVISION: ��� UNIT#_BLOCK#_SLOT#—J�—
(Addressing is based onintl� formation - must be accurate)
Dwelling Units: Parcel Acres:
PROPERTY
PHONE #: Home (
OWNER MAILING
PHONE #
Work ( ) 52r)?' z1450 5 Cell (
STATE:_ZIP:
APPLICANT (If other than owner)
(Applicant if other than owner, a statement authorizing applicant to act as agent for owner must accompany this application.)
APPLICANT INFORMATION: ADDRESS CITY;
STATE; ZIP
PHONE #: Home (
CONTRACTOR:
EMAIL FAX
Work (
Cell (
MAILING ADDRESS: v v CITY Z . STATE ZIP
PHONE #: Home ( ) Work ( ) ,S?L2 - 4150 5 Cell ( )
EMAIL FAX —
I low many buildings are located on
IDAHO REGISTRATION # & EXP.
Did you recently purchase this property? No Yes (If yes, list previous owner's name)_
Is this a lot split? NO YES (Please bripg-copy of nerd legal description of property)
PROPOSED USE:
(i.e., Single I+amily Residence, b ti family,
Garage, Commercial, Addition, Ftc.)
APPLICANTS SIG NXFUIUi, CERT'IFICAT'ION AND AU'ITIORIZAT'ION: Under penalty of perjury, I hereby certify that I have read this
application and state that the information herein is correct and I swear that any information which may hereafter be given by me in hearings before the
Planning and Zoning Commission or the City Council for the City of Rexburg shall be truthful and correct. I agree to comply with all City regulations and
State laws relating to the subject matter of this application and hereby authorized representatives of the City to enter upon the above-mentioned property
for inspec ons purposes. NOTE: The building official may revoke a permit on approval issued under the provisions of the 2003 International Code in
casetisay false status isrepresentation of fact in the application or on the plans on which the permit or approval was based. Permit void if not
start I 180 a c. Per{ltut voV if work stops for 180 days.
(hvnex/App'cant DATE
WARNING — BUILDING PERMIT MUST BE POSTED ON CONSTRUCTION SITEI
Plan fees are non-refundable and are paid in full at the time of application beginning, anuary Z 2005
City of Rexburg's Acceptance of the plan review fee does not constitute plan approval
**Building Permit Fees are due at time of application" **Building Permits are void if your check does not clear** 2
Building Safety Department
City of Rexburg
35N POE Phone: 208.372.2326
Rexburg, to 83440 www.rexburg.org Fox 208.359.3022
Property Lines
CITY OF
REXBURG
clay
Ama1m' Famly Communfty
Each site plan that is submitted to the City of Rexburg for the Building Permit process requires that property lines
are shown accurately. It is the Developer's responsibility to correctly identify on the site plan the location of these
lines in reference to the public right-of-way, other adjoining property lines, the street, other structures and all utility
lines. The Developer should find property pins that are still available at the lot in question. If these pins do not
exist or have become unrecognizable then a new survey should be performed.
Accurate property line infotruation is a must for a timely review. In addition to finding e isdng property pins, legal
descriptions should be checked. The best way to identify property line location is with a land survey. The City of
Rexburg has aerial photos and a parcel line layer that can be checked, but they are only a tool and are not
guaranteed for accuracy. If you want to request a copy of your lot, see the front counter at the Community
Development Department.
I have read and understand the above requirements.
ieA--,,)
Signature Date
-4p- Owner or -t Builder
Printed Name
0
Building Safety Department :
City of Rexburg
� t
35 N I> E Phone: 209.372.2326
Rexburg, 083440 www.rexburg.org Fmc20&359.3022
OWNER'S NAME IJrY /Op1�/e/7'f S
PROPERTYADDRES —S P
SUBDIVTCT^^' F�j
PHASE _iOT� ^:7BLOCK R
Required/./I ELECTRICAL
Electrical Contractor's Name='��t•;tir j.,1„ �1;��p�
Business Name 7')'
Address
'�-
Address 1'JT i•J, -,� City %J)d.cf-ir.rn"i Spte iLZjp)''S�71
Cell Phone ( ,) "f y ( j Business Phone (,)a)
Fax ) �t,m:' F l ti;:,Jm�hJ (.7C /tet .:lMa,/.li ✓YI
Electrical Estimate (cost ofwiemg & labor) $ (COMMERCIAL/MULTI-FAMILY ONLY)
(Inihde, the vit pf wamigir inuo0rd Ud dk, ofthrP4rtyn0/ye g ft)
TYPES OFINSTALLATION
(Now ResidenWi5a lodes everydi gc=hdoedwAVn the sddavdeseevcfzo, aadamechedgange sttfre 4xme dme)
RESIDENTIAL ONLY
❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120
❑ *2,501 to 3,500 sq ft - $168 ,kr *3,501 to 4,500 sq ft - $216
❑ **Over 4,500 sq ft - $216 plus $.04/sq ft s ft total
❑ Existing Residential (# of Branch Circuits q
- $40 plus $10 per circuit: # of circuits
❑ Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
❑ Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable
❑ Electric Central Systems Heating and/or Cooling(wheaaotpartofaarn,rddrm';a7mnrnxrrioayrmdr
and no addi14xa1x*iRq) - $40
❑ Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
❑ Other Installations: Wiring not specifically covered by any of the above:
Carl of llTring b Lnhar. S (Inrhd for a t ofmata ak nrtadrd ,ga'd/e r of 1bePa ty xyDiy K N)
❑ Pumps (Domestic Water, laigadon, Sewage): _ horse poq er
❑ Requested Inspections (of existing wiring) - $40/hr (1 hrmirumum) plus $40/hr thereafter
"Includes a maximum of 3 inspections Addititmal inspection, charged at tequested in,pection ate of W per hour.
•" Includes a maximum of 4 inspections. Addititmo inspections charged at requested inspeC&M ate of S40 per bout.
Sil,?naturm of Ucemcd Conlma luz License number Date
Building Safety Department
CRY of Rexburg
a5N ME Phone:lgB,372Y3Y6
RexburD. fD 83II0 "Ww Xbug.otg :mc20.359JO22
V e4hbj AFh fS
SUBDIt>•�-•�V ��U.g(�1.G00d _ Permit#
PHASE _ l LOT
Requited.!/! MECHANICAL
1
Mechanical Contractor's Name Y1 Business Name `
Address 26 aYp A)
O�2 -��ISoirc
Cell Phoneow) -313 - ;�) </ mousiness P�.hon.... (e/n�)-- %Lq�/ t -% fj ppa r
FzR ) 4 1� /!:DmpA pa !]fin i.n..
Mechanical Estimate $(Commercial/Multi Family Only)
F=UBLS &dPFLL1NCM COUNT (Single FamgrDhvel/.wg C dvj
Furnace
_ Exhaust or Vent Ducts (,w.hrdtr/m)
Fumacc/Air Conditioner Combo
._ 1Dryer Vents
Heat Pump
_ Range Hood Vents
Air Conditioner
Cook Stove Vents
Evaporative Cooler
_ Bath Fan Vents
Unit Heater
other similar Vents & ducts:
Space Hater
Decorative gas-fired appliance
Inaincator System
Boder
Pool Heater
t
Ful] Gas Pipe Outlets including stubbed in or future outlets
Inlet Pressure (Meta Supply) PSI
Hat (Citcli: all that apply) Gas On Coal Fireplace Electric Hydronic
Sigunve ofii rased Conhacax
i
10-4-l�
nate r
rk
i
I
LBuilding Safety Department
c1 y of Rexburg r
35N rxE Rf;X13tJR(.�
PhOne:208.3722326 t
Rexbap,b83A<o www�exburg oro FOX: 2(83Sa.3022 .
NAME
VeIo�M�CCit�
PROPERTYA !" -
SUBDIVMTrn T ���Q-wO� — > Permit#
PHASE_ I_ BLOCK �.
Remodeling YoutBu}Idiag/Home (need Esdnute) f
SURFACE SQUARE FOOTAGE. (Shall include the e:rterior wall measuremen
ts of the building) .. .. _ .. 1
First Floor Area_ I Unfinished Basement arm_
Second floor/loft area Finished bnsemevr v� t
Tbird floor/loft Garage area_
Shed or Bsm Carport/Deck (30" above grade)Are��
Water Meter Quantity; r.w.+- "Water Meter Size-
Requiredl/1 i
PL UMBING t/ � 1
Plumbing Con[yraetoe. Name.YS3
—.lII_ pe Business Name:
�•a
'Address _ . Ol E __Q(a A)
City( )�.t ty �Smte-
ConmetPhone: 7 BusinessPbon.
u—.l rte._ /7.,._ I—. _
AIX7'DR�i'n F _Srghed
Clothes Washing Machine Sprinkllers
Dishwasher
Tub/Showers
Floor Drain
a , Totlet/Urinal
Garbage Disposal
Water Hinter
Hot Tub/Spa
_ 5WaterSoftener
Sinks (Lavatories, kitchens, bar, mop)
Plumbing Estimate s (COMMERCIAL/MULTI-FAMILY ONL1)
r5iguturc of Licotsed Cemt4croc Lcerwe Numta:r6e 13xlwauvv Aaa f
........—_ Darr 1
5
Excavation &
F.�4
SUBCONTRACTOR LIST
Special Construction
(Manufacturer or Supplier)
Siding/Extesior Ttitn: